ESGAP inventory of target indicators assessing antibiotic prescriptions: a cross-sectional survey
| Autor: | Howard, Philip, Huttner, Benedikt, Beovic, Bojana, Beraud, Guillaume, Kofteridis, Diamantis P, Pano Pardo, José, Schouten, Jeroen, Pulcini, Céline, Angioni, Goffredo, Arvaniti, Kostoula, Barac, Aleksandra, Bolla, Cesare, Calbo, Esther, Dyar, Oliver-James, Fantoni, Massimo, Fjeld, Hilde, Keuleyan, Emma, Kumar, Sathish, Harhxi, Arjan, Jenkins, David, Maurer, Florian P, Messiaen, Peter, Montejo Baranda, Miguel, Muñoz, Patricia, Orlando, Gabriella, Pagani, Leonardo, Pepe, Fatmanur, Gentil, Pilar Retamar, Rocha Pereira, Nuno Miguel, Rodrigues-Bano, Jesus, Skodvin, Brita, Tängden, Thomas, Vitrat, Virginie, Vlahovic-Palcevski, Vera, Wechsler- Fördös, Agnes, Zarb, Peter, ESGAP Indicators Working Group, Other members of the ESGAP Indicators Working Group |
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| Přispěvatelé: | Leeds Teaching Hospitals NHS Trust, Department of Infectious Diseases and Infection Control [Geneva, Switzerland], Hôpitaux Universitaires de Genève (HUG), University of Ljubljana, Evaluation des technologies de santé et des pratiques médicales - ULR 2694 (METRICS), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Médecine Interne et Maladies Infectieuses, CHU de Poitiers, Poitiers, France, Centre hospitalier universitaire de Poitiers (CHU Poitiers), Hasselt University (UHasselt), University Hospital of Heraklion, University of Zaragoza - Universidad de Zaragoza [Zaragoza], Canisius-Wilhelmina Hospital [Nijmegen, The Netherlands], Service des Maladies Infectieuses et Tropicales [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), ESGAP Indicators Working Group |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Male BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences Cross-sectional study lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] Practice Patterns Accreditation Antimicrobial Stewardship 0302 clinical medicine Surveys and Questionnaires Health care Outpatients Anti-Bacterial Agents Drug Prescriptions Hospitals Antimicrobial stewardship Pharmacology (medical) 030212 general & internal medicine Practice Patterns Physicians' BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti Middle Aged Guatemala 3. Good health Europe Infectious Diseases Incentive Geography Correlators Female BIOMEDICINA I ZDRAVSTVO. Temeljne medicinske znanosti Regression analysis Microbiology (medical) Adult Asia Adolescent 030106 microbiology MEDLINE Antibiotic susceptibility testing Settore MED/17 - MALATTIE INFETTIVE 03 medical and health sciences Middle East Young Adult All institutes and research themes of the Radboud University Medical Center Public reporting Environmental health Humans Medical prescription Aged Quality Indicators Health Care Pharmacology Inpatients Physicians' business.industry BIOMEDICINE AND HEALTHCARE. Basic Medical Sciences Drug Utilization Anti-infective agents -- Administration Health Care Cross-Sectional Studies Drug resistance Antibiotics -- Therapeutic use Africa Quality Indicators [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business |
| Zdroj: | Journal of Antimicrobial Chemotherapy Journal of Antimicrobial Chemotherapy, Oxford University Press (OUP), 2017, 72 (10), pp.2910-2914. ⟨10.1093/jac/dkx243⟩ Journal of Antimicrobial Chemotherapy, 72, 10, pp. 2910-2914 Volume 72 Issue 10 Journal of Antimicrobial Chemotherapy, 2017, 72 (10), pp.2910-2914. ⟨10.1093/jac/dkx243⟩ Journal of Antimicrobial Chemotherapy, 72, 2910-2914 |
| ISSN: | 1460-2091 0305-7453 |
| Popis: | Background: A variety of indicators is commonly used to monitor antibiotic prescriptions as part of national antimicrobial stewardship (AMS) programmes. Objectives: To make an inventory of indicators that assess antibiotic prescriptions and are linked to specific targets and incentives, at a national level. Methods: A cross-sectional survey (three-item questionnaire) was conducted in 2017 among all ESGAP (ESCMID Study Group for Antimicrobial stewardshiP) members, coming from 23 European countries and 16 non-European countries. Results: Almost all (20/23, 87%) European countries belonging to the ESGAP network participated, as well as one non-European country. Computerized systems routinely linking antibiotic prescriptions to clinical diagnoses were reported for only two countries (Turkey and Croatia). Only 6/21 (29%) countries had national indicators with both clear targets and incentives (Bulgaria, Croatia, France, the Netherlands, Norway and Portugal). We identified a total of 21 different indicators used in these countries, 16 concerning inpatients (9 quality indicators and 7 quantity metrics) and 8 concerning outpatients (all quantity metrics); some indicators were used in both settings. Three types of incentives were used: financing mechanism, hospitals’ accreditation and public reporting. Some respondents reported that such indicators with both clear targets and incentives were used at a regional level in their country (e.g. Andalusia in Spain and England in the UK). Conclusions: National indicators, with clear targets and incentives, are not commonly used in Europe and we observed wide variations between countries regarding the selected indicators, the units of measure and the chosen targets. peer-reviewed |
| Databáze: | OpenAIRE |
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